Chino Spectrum Optometry PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

9741 Issued in CA

Legal business name

CHINO SPECTRUM OPTOMETRY PC

Practice address

3920 Grand Ave #D
Chino, CA 91710

Phone

(909) 613-1644

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vance The Nguyen, ODNPI 1770648743

Title

Ceo

Phone

(909) 613-1644

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vance T Nguyen, O.D

  • Optometrist
  • Chino, CA
  • NPI 1770648743
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1912345406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 GRAND AVE STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105484",
            "telephone_number": "909-613-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 GRAND AVE #D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-613-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO SPECTRUM OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "THE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-613-1644",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "9741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chino Medical Group, Inc (My Family Medical Group)
• Chino Optometry Center
• Chino Pediatrics Medical Clinic, Inc.
• Chino Physical Therapy Inc.
• Chino Premier Surgery Center Limited Partnership
• Chino Stone & Surgery Center
• Chino Unified School District
• Chino Valley Family Physicians a Medical Group
• Chino Valley Medical Center
• Chino Valley Medical Group

• Exclusive Provider Organization in Chino, CA
• Providers in Chino, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.